Abstract
As TEACHER AND CLINICIAN, Dr. Howard Taylor has played an important part in developing obstetrics in a great country, and his interest in the planning of an ideal maternity service has been sustained throughout his professional life. The changes now to be described evolved over a period of approximately 30 years in a relatively small part of England. The urban and rural area concerned was comparable only to that of one of the smaller American states, and the total population of less than three million approximately equalled that of Washington. Yet developments within this relatively small community provide a pattern for what has happened to a varying extent throughout the British Isles during a time of unparalleled progress in raising the standards of obstetric care. Moreover, even the concept of what constitutes a maternity service has changed and is still changing. An idea can be the acorn from which a great oak develops. As will be seen from the account which follows, a simple idea brought from America to Britain by a visitor* to the British Congress in
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